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Research Article - Journal of Research in Nursing and Midwifery ( 2022) Volume 11, Issue 3

Midwifery Practice and Education: Current Challenges and Opportunities

Justin Thomas* and Raymond White
Department of Health and Nursing, USA
*Corresponding Author:
Justin Thomas, Department of Health and Nursing, USA, Email:

Received: 21-Jan-2022, Manuscript No. JRNM-22-13; Editor assigned: 24-Jan-2022, Pre QC No. JRNM-22-13(PQ); Reviewed: 07-Feb-2022, QC No. JRNM-22-13; Revised: 14-Feb-2022, Manuscript No. JRNM-22-13(R); Published: 21-Jun-2022, DOI: 10.14303/jrnm.2022.13.


This article centers around maternity care as one answer for large numbers of the issues that stand up to contemporary American obstetrics. Reported proof with memorable point of view that upholds the view that birthing assistance ought to turn into the standard in maternity care in the United States, not another option, is introduced. The job distinctions and clashes that will generally emerge among specialists and birthing assistants are examined and coordinated effort between the two expert gatherings is recommended at this point one more answer for the issue Maternity care clinical practice and schooling has changed altogether since Mary Breckinridge previously acquainted nurture birthing specialists with the United States in 1925. This article examines current difficulties in birthing assistance clinical practice and schooling and proposes potential arrangements. Maternity care clinical difficulties incorporate prohibitive regulation and business-related hindrances, including yet not restricted to doctor management limitations, prescriptive power, out-of-emergency clinic birth regulation, and outsider repayment. Instructive difficulties featured incorporate the ongoing medical care environment's effect on birthing assistance training, the commitment of clinical destinations and preceptors, and the advantages of birthing assistance schooling.


Midwife, Nurse-midwife, Midwifery clinical practice, Midwifery education, Certified nurse-Midwife, Certified midwife, Birth, Nurses, Nursing


Birthing assistance is an old calling still effectively rehearsed all through the world. In the United States, the primary advanced nurture birthing specialists were British-taught ladies brought to this country by Mary Breckinridge in 1925. Their center was to give medical services in the distant heaps of country Kentucky (King et al., 2013) for an association that became known as the Frontier Nursing Service (FNS). That very year, the main school explicitly settled to teach nurture birthing specialists was laid out in New York City, the Manhattan Midwifery School. The ongoing maternalnewborn child medical services environment in the US is broadly recognized to be needing change with maternity specialists being viewed as key in returning birth care to a more typical, physiologic express that is lady focused. Thusly, more should be finished to understand the objective of each and every lady and family approaching birthing assistance care. However authoritative, business, and instruction difficulties to birthing assistance practice remain. Looking into all the clinical practice and instructive difficulties isn't inside the extension or space limits of this paper; subsequently, select current clinical practice and instructive difficulties as well as could be expected arrangements are examined. As one more test to understudies in getting maternity care schooling, educational cost for advanced educations keeps on ascending while at the same time subsidizing for monetary guide diminishes. Understudies are currently expected to acknowledge a greater amount of the monetary weight of advanced education, possibly allowing for study and welcoming more pressure in the pursuit their objective. Nonetheless, fortunately maternity care understudies will see a positive profit from their interest in expert and individual fulfillment as well as monetary advantages. Birthing assistance understudies acknowledge money saving advantages principally by getting bigger pay rates and incidental advantages over the length of their birthing assistance vocations contrasted with compensations they would have made as work and conveyance medical attendants.


We embraced a subjective examination to grasp maternity care and nursing training, and administrative frameworks in India, through a survey of the administrative Acts, and an examination of the discernments and encounters of senior maternity care and nursing pioneers addressing organization, support, schooling, guideline, exploration and administration arrangement in India with a worldwide viewpoint. Maternal and neonatal wellbeing have been one of WHO's critical needs for a really long time. The Millennium Development Goals (MDGs), and the Sustainable Development Goals (SDGs), have particularly designated the maternal mortality proportion (MMR) and the baby mortality proportion (IMR) In Tanzania, attempting to arrive at the MDGs has been significant. Tanzania has a complete populace of 45 million individuals, where ladies of childbearing age make up 47.1% The Total Fertility Rate is 5.2. The baby death rate is 43 for each 1000 live births, which is below the normal newborn child mortality in sub- Saharan district of 79.1 per 1000. The maternal mortality proportion (MMR) was assessed to be 556 for each 100.000 births in 2016. This is higher than the proportions detailed in 2010, however a diminishing from the 2005-levels of 578 for every Table 1.

Table 1:Overview of main categories and subcategories emerging from the focus group discussions with the midwives.

Categories Sub-categories
>Feelings of demoralization Blamed by patients
  Lack of support from superiors
Shortage of resources Personnel
Societal challenges Low level of education in the population
  Lack of collaboration within the health system
Personal struggles Health problems
  Lack of personal development
  Family life troubles


There is an absence of significance concurred to maternity care jobs inside the nursing framework. The boards and Acts don't enough reflect maternity care practice, and stay an obstruction to great quality consideration arrangement. The absence of required correction of Acts, absence of portrayal of maternity specialists and medical attendants in key administration positions in chambers and advisory groups have controlled and subverted administrative roles, which have likewise debilitated the development of the callings. An absence of chances for proficient practice and unreasonable evaluation rehearses is basic worries influencing the nature of nursing and maternity care training in confidential organizations across India. Birthing assistance and nursing understudies are by and large more defenseless against segregation and have less open doors contrasted with clinical understudies exacerbated by the orientation based difficulties


The most prevalent findings in this study was the feeling of demoralization. Other factors of importance were personal struggles, shortage of staff, equipment availability, and unawareness and challenges in society. The feeling of demoralization and lack of motivation is in line with findings from other studies conducted in the region Positive support from supervisors has been demonstrated to be of importance for the quality of services that health workers are able to deliver. In the World Health report on improving performance in healthcare, the WHO stress that supportive supervision can contribute to improved performance of health workers. In situations where employees experience lack of motivation, consequences are lack of courtesy to patients, poor process quality and failure to treat patients at an appropriate time. The health outcomes of patients are therefore critically dependent on the nurses’ motivation. Changing the management strategy, or providing supportive management training for supervisors, are documented measures that can be taken to increase the level of motivation in the workplace. Another important factor to improve performance is adequate salaries. Hospitals where at least a minimum of allowances are paid, tend to have a more motivated work force, and consequently more content patients, according to Tibandebage et althea experienced lack of opportunities for career advancement and personal development, which were presented in the category ‘personal struggles’, also contribute to the feeling of demotivation. Continued education is one of the most effective ways to heighten midwives’ motivation and cultivate midwives’ skills. Skilled and motivated midwives with possibilities for career development have proven to be an efficient way to reduce mother and child mortality. Another way to heighten motivation is through promotion. Providing midwives with the possibility of future education, and/or possibilities for promotion is therefore something that may lead to higher staff retention and a more motivated staff.


This study plans to show that maternity specialists working at a territorial reference emergency clinic in Dar as Salaam face significant difficulties, both relating to the administration of the medical care administration (locally and broadly), opportunities for progression (schooling and advancement), accessibility of assets (materials and faculty) and notoriety and information in the populace. The difficulties they face, comprise obstructions to giving great maternity care to their patients, brings on some issues for them on an individual level, and demotivates them in their work. They consequently should be tended to, both by government funders, wellbeing strategy producers and controllers. A sensation of discouragement is especially obvious. The primary driver of this feeling is a shortfall of help and understanding from their chiefs. Making a field for discourse and carrying out a more strong initiative style would be effective measures that can, and ought to, be taken to work on the maternity specialists' functioning circumstances. Other significant measures are decrease of responsibility, either with expanded measure of staff or revamping of the reference framework, giving adequate hardware, either through a bigger stockpile or change of polices, and expanding the information level, both through giving preparation to the birthing specialists and through teaching the populace. Going to these lengths will work on the nature of care the maternity specialists give, which thus can prompt better wellbeing for the two moms and youngsters in Tanzania.


The creator might want to recognize his Department of Medicine from the University of Vanderbilt Medical Center for their help during this work.

Conflict of Interest

The creator has no known contentions of intrigued related with this paper.


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